Falls, Fear of Falling, Self‐Reported Impairments, and Walking Limitations in Persons With Late Effects of Polio

Brogårdh, Christina; Lexell, Jan

doi:10.1016/j.pmrj.2014.04.010

Cited by 40 publications

(87 citation statements)

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“…A higher score indicates that the participant is more concerned about falling. FES-I has been shown to have good psychometric properties (Yardley, Beyer, Hauer et al, 2005) and is commonly used to assess fear of falling in elderly, and in persons with different neurological diseases (Bladh, Nilsson, Carlsson, & Lexell, 2013;Blennerhassett, Dite, Ramage, & Richmond, 2012;Brogardh & Lexell, 2014;Moore et al, 2011).…”

Section: Falls Efficacy Scale -International (Fes-i)mentioning

confidence: 99%

“…Muscle weakness in the lower limbs can lead to limitations in walking ability (Horemans, Bussmann, Beelen, Stam, & Nollet, 2005) and an increased risk of falls (Lord, Allen, Williams, & Gandevia, 2002). Nearly 95% of people with late effects of polio report fear of falling (Brogardh & Lexell, 2014;Legters, Verbus, Kitchen, Tomecsko, & Urban, 2006), and approximately 50% to 84% report falling one or more times per year (Bickerstaffe, Beelen & Nollet, 2010;Brogardh & Lexell, 2014;Silver & Aiello, 2002).…”

Section: Introductionmentioning

confidence: 99%

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Physical Activity and the Association With Self-Reported Impairments, Walking Limitations, Fear of Falling, and Incidence of Falls in Persons With Late Effects of Polio

Winberg¹,

Brogårdh²,

Flansbjer³

et al. 2015

Journal of Aging and Physical Activity

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The purpose of this study was to determine the association between physical activity and selfreported disability in ambulatory persons with mild to moderate late effects of polio (N=81, mean age 67 years). The outcome measures were: Physical Activity and Disability Survey (PADS), a pedometer, Self-reported Impairments in Persons with Late Effects of Polio Scale (SIPP), Walking Impact Scale (Walk-12), Falls Efficacy Scale -International (FES-I) and self-reported incidence of falls. The participants were physically active on average 158 minutes per day and walked 6212 steps daily. Significant associations were found between PADS and Walk-12 (r = -0.31, p < 0.001), and between the number of steps and SIPP, Walk-12 and FES-I (r = -0.22 to -0.32, p < 0.05). Walk-12 and age explained 14% of the variance in PADS and FES-I explained 9% of the variance in number of steps per day. Thus, physical activity was only weakly to moderately associated with self-reported disability.

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Section: Falls Efficacy Scale -International (Fes-i)mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physical Activity and the Association With Self-Reported Impairments, Walking Limitations, Fear of Falling, and Incidence of Falls in Persons With Late Effects of Polio

Winberg¹,

Brogårdh²,

Flansbjer³

et al. 2015

Journal of Aging and Physical Activity

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“…Other investigators have reported that 50% to 84% of individuals with PPS admit to falling in the past year (Brogårdh and Lexell, 2014;Hill and Stinson, 2004;Legters et al, 2006;Silver and Aiello, 2002) with 63% to 95% reporting a fear of falling when explicitly asked (Bickerstaffe, Beelen, and Nollet, 2010;Legters et al, 2006).…”

Section: Introductionmentioning

confidence: 97%

“…The neurologic effects from the original polio illness and the later symptoms of PPS, such as increased muscle weakness, fatigue, reduced balance, and walking limitations, contribute to an increased number of risk factors for falls in polio survivors (Bickerstaffe, Beelen, and Nollet, 2010;Brogårdh and Lexell, 2014;Gênet et al, 2009;Hurmuzlu, Basdogan, and Stoianovici, 1996;Legters et al, 2006;Lord, Allen, Williams, and Gandevia, 2002;Silver and Aiello, 2002), thus leading to an increased incidence of falls. The risk factors for falls in older adults, in general, include the following: the use of four or more medications; balance or gait instability; postural hypotension; vision impairment; and home hazards (Bradley, 2011;Weber, White, and McIlvried, 2008;Zeimer, 2008).…”

Section: Introductionmentioning

confidence: 99%

“…Previous fall-related studies have focused on selfreported impairments, walking limitations, fear of falling, balance confidence, quality of life, osteoporosis, and fractures in individuals with PPS (Bickerstaffe, Beelen, and Nollet, 2010;Brogårdh and Lexell, 2014;Hill and Stinson, 2004;Legters et al, 2006;Mohammad et al, 2009;Pierini and Stuifbergen, 2010;Silver and Aiello, 2002). However, no study has assessed the relationship of depression and medications to the incidence of falls within the polio survivor population.…”

Section: Introductionmentioning

confidence: 99%

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Relationship of depression and medications on incidence of falls among people with late effects of polio

Silva

Zuckerman

Olkin

2017

Physiotherapy Theory and Practice

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The purpose of this study was to determine if falls in polio survivors, with or without post-polio syndrome (PPS), are related to number of medications taken, use of anti-depressant or psychoactive medications, or self-report of depression. A survey was sent to 300 members of a regional polio support group, asking them to document their fall history, medications used, and the presence of depression. Depression was measured by self-report and with the Geriatric Depression Scale, short form (GDS-15). One hundred and seventy-two usable surveys were returned with 146 of those completing the medication list. Sixty-two percent reported at least one fall in the past year. The multiple logistic regression was significant (p = 0.023), and it indicated depression to be a significant predictor (p = 0.012) of falls in polio survivors with and without PPS. The number of total medications or anti-depressant or psychoactive medications used was not related to fall incidence. Routine screening and treatment for depression may be one aspect of fall prevention which can be implemented through primary care.

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Test‐Retest Reliability of the Reintegration to Normal Living Index (RNL‐I) to Assess Perceived Participation in Adults With Late Effects of Polio

Andersson

Lexell

Brogårdh

2019

PM&R

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Background Many individuals with late effects of polio have difficulties participating in daily activities. The Reintegration to Normal Living Index (RNL‐I) is a self‐report questionnaire that evaluates perceived participation, but knowledge of the test‐retest reliability and measurement errors in this population is lacking. Objective To evaluate the test‐retest reliability of the RNL‐I in adults with late effects of polio. Design A postal survey with a test‐retest design. Setting University hospital outpatient clinic. Participants Fifty‐one adults (20 women and 31 men; mean age 72 years) with late effects of polio. Main Outcome Measurements The Reintegration to Normal Living Index (RNL‐I). Methods The participants responded to the RNL‐I twice, 3 weeks apart. Data were analyzed with the following statistical methods: percentage agreement (PA), quadratic kappa coefficients, the intraclass correlation coefficient (ICC), mean difference, standard error of measurement (SEM/SEM%), and the smallest real difference (SRD/SRD%). Results The PA (ie, the same scoring at both test occasions) was >70% for 10 of 11 items. The kappa coefficients showed good test‐retest agreement (>0.61) for 7 items. The ICC was 0.88 and the mean difference was −0.74. The SEM (SEM%) was 7.4 (9.7%) and the SRD (SRD%) was 20.5 (27.0%). Conclusion The RNL‐I can be considered reliable for adults with mild to moderate late effects of polio. It can thereby be used to assess changes in perceived participation over time or after rehabilitation interventions, both for a group of individuals and a single individual. Level of Evidence III.

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Falls, Fear of Falling, Self‐Reported Impairments, and Walking Limitations in Persons With Late Effects of Polio

Cited by 40 publications

References 41 publications

Physical Activity and the Association With Self-Reported Impairments, Walking Limitations, Fear of Falling, and Incidence of Falls in Persons With Late Effects of Polio

Physical Activity and the Association With Self-Reported Impairments, Walking Limitations, Fear of Falling, and Incidence of Falls in Persons With Late Effects of Polio

Relationship of depression and medications on incidence of falls among people with late effects of polio

Test‐Retest Reliability of the Reintegration to Normal Living Index (RNL‐I) to Assess Perceived Participation in Adults With Late Effects of Polio

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